Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARLENA DAGOSTIN
Deactivated Sole ProprietorMRS. MARLENA DAGOSTIN is a Family Nurse Practitioner healthcare provider located in ROSCOE, Illinois. NPI 1720578180 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ROSCOE, IL
This NPI has been deactivated.
The record was deactivated on January 28, 2025.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1720578180
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2018 (6.7178082191781 yrs)
- Last Updated
- Feb 28, 2025
- Deactivated
- Jan 28, 2025
- Licenses
-
RBT-17-45125 (IL)209.031411 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5000 PRAIRIE ROSE DRROSCOE, IL, 610737792Browse IL providers · Browse ZIP 61073
- Phone
- 8159712000
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Other Family Nurse Practitioner Providers in ROSCOE, IL
| Name | Credential | NPI |
|---|---|---|
| AMANDA HUBER | — | 1841600715 |
| VICKI FOTI | APN | 1548702954 |
| TONYA L TIDWELL | — | 1356850739 |
| MRS. MELISSA NICOLE NORMOYLE | APRN | 1710535950 |
| JORDAN MARIE HENDRICKS | FNP-BC | 1225785991 |
| SARA GADDINI | FNP-C | 1073399408 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.